Can Man Boobs Grow Back After Gynecomastia?

If I have a gynecomastia breast reduction for men, are the results permanent, or can the man boobs grow back?

Doctor Answers 50

Can man boobs grow back after gynecomastia

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Generally gynecomastia surgery will take care of the problem permanently. Weight gain, steroids, hormones, or other factors could contribute to a recurrence of gynecomastia. Find an excellent surgeon the first time around to help ensure the best result. 

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Can gynecomastia recur?

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Gynecomastia which arises during puberty, does not typically recur after surgical correction in the absence of other inciting causes. If there is a significant fatty component, post-operative weight gain might result in some recurrence.  If the condition arose from use of medication or anabolic steroids, further use could lead to recurrence.  

Gynaecomastia/ Male breast Surgery

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Hi there! Gynaecomastia can be corrected by many technique. To my knowledge and experience none of the non surgical techniques give results super to surgery. The chance of recurrence is higher if only liposuction is performed. However when combined with excision recurrence is rare. Few drugs that are used for heart failure/ kidney failure may induce growth of the gland in leter part of your life.


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Once the surgery is done (lipo and gland excision)  usually there has to be residual fatty tissue for contouring,  this can increase in size due drugs (steroids, cannabis, certain meds) or gaining weight. The gland is removed but a small cuff is left behind the areola for contouring, this can also increase in size due to the same factors mention earlier. 

Man Boob Recurrence after Gynecomastia Surgery?

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The results of male breast reduction surgery are often permanent. By removing the excess breast tissue, the procedure is able to treat the root cause of enlarged breasts in men. In order to maintain the results, it’s important that you follow your surgeon’s post-surgery recommendations. Gynecomastia can recur as a result of hormonal changes, steroid use, certain recreational drugs or other medications and weight gain.

Surgery Should Be Permanent

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If performed correctly, removing most of the breast tissue should be a permanent solution. If the overgrowth of tissue was secondary to an organic disease or to medications or steroids, gynecomastia can certainly recur. Therefore, it is very important that you have an appropriate history and physical exam and medical work-up prior to any surgery. Any issue that caused the tissue overgrowth must be addressed prior to surgery.

It doesn't come back if properly treated

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The most common reason gynecomastia "comes back" is because it wasn't properly removed the first time. Often patients are told to "wait six months or more for the swelling to subside" only to find things haven't changed that much.

Gynecomastia results are immediate. Recurrence of the tissue is quite rare (I have seen it on one side in 1700 cases).

Find an experienced gynecomastia surgeon and you will be in good hands.

The Lasting Effects of Gynecomastia Surgery

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The #recurrence of breast enlargement is uncommon following #gynecomastia surgery.
However, it can occur. If this happens, you may require further surgery in the future.
Each patient is unique and previous #results are not a guarantee for individual outcomes. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.

Results are permanent unless...

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Fat and breast tissue that are removed are gone forever.  Sometimes a patient will think that it has returned but the gland may not have been completely removed during surgery.
However fat cells can re-expand if someone gains enough weight.
And if patients are exposed to some steroids, medications, or develops a tumor  - then it can return.

Is gynecomastia surgery permanent?

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Man boobs can be caused by excess fat, but true gynecomastia is caused by the presence of firmer breast tissue. Once this firm breast tissue is removed, it will not generally return. That said, if you gain a lot of weight, the increase in fat can mimic the appearance of gynecomastia. Also, if there is a hormonal cause of gynecomastia that goes untreated you may get a little regrowth since a little breast tissue is almost always left on the back of the nipple to prevent a "caved in" appearance after surgery. Overall though, the surgery should be permament.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.